Provider Information for 1336561042
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ELIZABETH ALVARADO
Sex: Female
NPI: 1336561042
Last Updated: 2014-01-15
Certification Date:
Certification Date:
Details
| Name | Value | ||||||||
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| NPI | 1336561042 | ||||||||
| Enumeration Date | 2014-01-15 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 72 REID AVE BERGENFIELD, NJ 07621-1923 United States Phone: 201-338-4804 | Fax:718-759-5350 | ||||||||
| Primary Practice Address | 72 REID AVE BERGENFIELD, NJ 07621-1923 United States Phone: 201-338-4804 | Fax:718-759-5350 | ||||||||
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